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iii iiiiiiiiiiiu iii <br />STATE OF CO~viv~~~J <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Nawral Resources I~~~~ <br />1313 Sherman 51., Room II S <br />Denver, Colorado 8020) <br />Phone: IJ0J1 866-3567 APPLICATION FORM FOR A REVISION <br />FAX: 13031 832-8106 DEPARTMENT OF <br />TO A COAL MINING AND RECLAMATION PERMIT <br />NATURAL <br />-- _ RESOURCES <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer <br />Rule 1.04(731. technical revisions, as defined in Rule 1.04(1361, and permit revisions, as defined cwerrar <br />in Rule 1.04190). All revisions are to address the requirements of Rule 2.08.4. Three 13) copies lames s. L«hheaa <br />of the revision, including maps, must be submitted in order for it to be complete. Executive oueclar <br />Michael B. Long <br />Division DlreCtOr <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables andlor figures, with a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to the <br />revision should explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AFO), and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br /> RECEIVED <br />Permit No.: C - $ ~ - Q ~ 3 Date: o ~ / 2 ~ / ~ 1 <br />Permittee: E a s t s i d e _ C o a 1~ -- SEP 0 2 1997' <br /> <br />Street: ~ 0 0 _ N. _ L o o ~3 _ 1 6 0 4 ~i: ision or Ivunerais & Geology <br />P. 0. B o x ~ 0 .l 0 0 7 <br />City: S a n_ A n t o n i o_ _ __ <br />State: Z g Zip Code: Z, ~ 2 ,2 ~ - ~ 0 ' 0 - ~ __. <br />Brief Description of R evision: U Q d a t e ,_ --P ` P ~ '~ <br /> ~ a ~ ? ~ _~ ~ ~_ ~i~-- <br /> <br />Public Notice Attache d:. Yes _ No X (Required for PRs and TRs1 <br />Bond Increase: Yes _ No X Fe deral _ Non-Federal ~ Mine <br />,~~ <br />`i <br />Proposed Change in: <br />Disturbed Area 1+/-) _ _ ~ . Q Acres <br />Permit Area (+/-) _ _ ~ . 0 Acres <br />State Land (+/-) _ _ ~ ~ Acres <br />Affected Area (+/-) _ _ ~ . p_ Acres <br />Federal Land 1 +/-) _ _ Q . 2 Acres <br />Private Land (+/-) _ _ O . 0 Acres <br />m: \oo al\shere\ fo rm s\8885 <br />